Glaucoma clinic experience

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adnan_u
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Joined: Wed Oct 17, 2007 7:18 pm

Glaucoma clinic experience

Post by adnan_u »

Hey guys.

The practice I'm working for doesn't really want to venture into glaucoma specialism and current owner can't see how it makes financial sense. Now I'm currently doing my prof cert in glaucoma. I just wanted to work somewhere, maybe a day a week, to gain some experience. Too much to ask? Please advise me if that is so.

Lancs area.
AU

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Ford Prefect
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Location: A small planet somewhere in the vicinity of Betelgeuse

Re: Glaucoma clinic experience

Post by Ford Prefect »

You really don't need experience for the prof cert.
Oh, Belgium.

adnan_u
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Re: Glaucoma clinic experience

Post by adnan_u »

Ford Prefect wrote:
Fri Apr 23, 2021 6:55 pm
You really don't need experience for the prof cert.
Aye, I've done most lectures and send very straightforward. It's more to try to do not glaucoma related work.

Thanks

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decay
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Location: South West

Re: Glaucoma clinic experience

Post by decay »

I find the whole thing very frustrating. Given that you can't prescribe without IP qualification and even if you do the highest level of glaucoma qualification you can't diagnose it all seems stacked against community optoms getting involved.

Given the current backlog glaucoma seems the ideal thing to get into the community especially in a rural setting but it is made very difficult. I have plenty of 90+ year old patients who refuse to travel an hour to the local hospital to be seen by a general ophthalmologist.

I think a hospital with a glaucoma department is the only place you are likely to be able to get significantly involved with glaucoma esp if you want to to do the higher levels.

I am currently doing the IP and would love to manage some of the lower risk patients locally but just not feasible currently.
Soon to be updated

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scotoma
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Re: Glaucoma clinic experience

Post by scotoma »

Move to Scotland and do NESGAT?

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ankh.t
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Re: Glaucoma clinic experience

Post by ankh.t »

Ford Prefect wrote:
Fri Apr 23, 2021 6:55 pm
You really don't need experience for the prof cert.
Agreed. I was always surprised at how many candidates hadn’t been doing GAT prior to the practical day(s).
SSDD

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ankh.t
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Re: Glaucoma clinic experience

Post by ankh.t »

decay wrote:
Sat Apr 24, 2021 1:49 pm
I find the whole thing very frustrating. Given that you can't prescribe without IP qualification and even if you do the highest level of glaucoma qualification you can't diagnose it all seems stacked against community optoms getting involved.
I used to wonder this also but you can diagnose OHT and Glaucoma Suspects (with the right Glauc HQ). It makes sense in real terms where there is a definite (?glaucomatous) visual field defect that a consultant ophthalmologist needs to confirm diagnosis of Glaucoma to rule out other pathology that can mimic/be mistaken for Glaucoma.
SSDD

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ankh.t
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Re: Glaucoma clinic experience

Post by ankh.t »

scotoma wrote:
Sat Apr 24, 2021 4:03 pm
Move to Scotland and do NESGAT?
I have only just heard about this - sounds interesting. What’s involved?
SSDD

adnan_u
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Joined: Wed Oct 17, 2007 7:18 pm

Re: Glaucoma clinic experience

Post by adnan_u »

Thanks for all the information guys. I regularly due GAT, VH etc. Just want to take the next logical step up. It's a shame nothing really for that. I would love to do the glaucoma higher and diploma but if you can't do much in community then is it worth it? Maybe do medical retina instead

killieboy
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Re: Glaucoma clinic experience

Post by killieboy »

scotoma wrote:
Sat Apr 24, 2021 4:03 pm
Move to Scotland and do NESGAT?
we have 2 optoms going through this years cohort, introductions this week so will find out more.

killieboy
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Joined: Sat Nov 22, 2008 1:01 pm

Re: Glaucoma clinic experience

Post by killieboy »

adnan_u wrote:
Sun Apr 25, 2021 9:29 pm
Thanks for all the information guys. I regularly due GAT, VH etc. Just want to take the next logical step up. It's a shame nothing really for that. I would love to do the glaucoma higher and diploma but if you can't do much in community then is it worth it? Maybe do medical retina instead
training by NES to create a nationally recognised creditation . ultimately the veiw is each NESGAT optom can see roughly 270pxs over the year that would normally have been seen in HES. no idea about scope of praciice as yet. One of the rules about applying was you need to be IP. places are rare as hens teeth, only 3 places this year in ayrshire, ( assume this is due to clinical plcements)

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ankh.t
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Re: Glaucoma clinic experience

Post by ankh.t »

Thanks for the info - it would be interesting to see where this sits in relation to the HighCet/Dip but imagine it will be somewhere in between?
SSDD

John Tickner
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Location: South Coast

Re: Glaucoma clinic experience

Post by John Tickner »

As long as your prepared to move from Lancs to the South Coast, you can take over my role which includes significant galucoma cases !

superoptom165
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Re: Glaucoma clinic experience

Post by superoptom165 »

killieboy wrote:
Mon Apr 26, 2021 12:25 pm
adnan_u wrote:
Sun Apr 25, 2021 9:29 pm
Thanks for all the information guys. I regularly due GAT, VH etc. Just want to take the next logical step up. It's a shame nothing really for that. I would love to do the glaucoma higher and diploma but if you can't do much in community then is it worth it? Maybe do medical retina instead
training by NES to create a nationally recognised creditation . ultimately the veiw is each NESGAT optom can see roughly 270pxs over the year that would normally have been seen in HES. no idea about scope of praciice as yet. One of the rules about applying was you need to be IP. places are rare as hens teeth, only 3 places this year in ayrshire, ( assume this is due to clinical plcements)
I don't know if it is still a pilot scheme in some health boards as it was only 4 boards initially offering it. Don't know if AAA was one.
From what I've heard it's very time consuming when you see patients in practice, up to an hour. £55 per patient seen

John Tickner
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Location: South Coast

Re: Glaucoma clinic experience

Post by John Tickner »

superoptom165 wrote:
Tue Apr 27, 2021 10:39 am

...it's very time consuming when you see patients in practice, up to an hour. £55 per patient seen
Only if you do the work yourself !

Clinical assistant can do S&H, VF, instill drops etc

You need ~ 15 minutes of time with Px to go through the results

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